FINDINGS:
The cardiac silhouette is enlarged.  There is central pulmonary vascular
 congestion and mild indistinctness of the pulmonary vasculature, overall
 improved since the prior examinations, consistent with improved CHF.  There is
 no large pleural effusion or pneumothorax.  No definite focal consolidation is
 identified.

IMPRESSION:
Improved edema since prior examination.